Individual provider Active NPI

Deann Leah Windell

  • Physical Therapy Assistant
  • Florence, WI
National Provider Identifier
1689337289
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2192-19 Issued in WI
Practice address
5778 Chapin St
Florence, WI 54121-9443
Phone
(715) 528-4833
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2192-19 WI Primary

Addresses

Primary practice location

5778 Chapin St
Florence, WI 54121-9443

Mailing address

W1667 County Rd N
Niagara, WI 54151-9290
Phone (906) 282-4596

Other names 1

  • Deann Gustafson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2192-19WIMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1689337289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1667 COUNTY RD N",
            "city": "NIAGARA",
            "state": "WI",
            "postal_code": "541519290",
            "telephone_number": "906-282-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5778 CHAPIN ST",
            "city": "FLORENCE",
            "state": "WI",
            "postal_code": "541219443",
            "telephone_number": "715-528-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDELL",
        "first_name": "DEANN",
        "middle_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2192-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANN",
            "last_name": "GUSTAFSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.